Understanding how the Australian vaccine-refusal movement perceives itself.
Australia
anti-vaccination
attitude
identity
vaccine confidence
vaccine hesitancy
Journal
Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
revised:
20
07
2020
received:
24
03
2020
accepted:
28
08
2020
pubmed:
2
10
2020
medline:
9
4
2022
entrez:
1
10
2020
Statut:
ppublish
Résumé
Public health responses to the vaccine-refusal (VR) movement are hindered by inadequate research about the movement's aims, identity and perceived value for its members. This study examined how members of the VR movement in Australia described the movement and what being part of it meant to them. Descriptions of the VR movement by 696 members from across Australia were collected between January and May in 2017 via an online survey. The data were analysed using thematic discourse analysis. Members' understandings of the movement and the beliefs underpinning these understandings were examined. Vaccine refusal was underpinned by distinct epistemic beliefs. Participants believed that mainstream vaccine promotion relies on dishonest communication of compromised research. They saw the VR movement as a science-based movement, researching both 'mainstream' and 'hidden' knowledge, promoting scientific values and advocating for better vaccine studies. Participants believed responsible parenting requires personally researching healthcare choices. Participants constructed the movement's identity in relation to common criticisms of vaccine refusal. These were discredited and repurposed to portray the movement as being brave and righteous. Participants believed people in the movement are astute, informed, responsible and courageous. They believed many members were impacted by vaccine-related harms, from which the movement now saves others. They saw themselves as fighting for an inconvenient truth that the mainstream ignores. Vaccine promotion needs to address the epistemic beliefs associated with vaccine refusal, yet these have been inadequately understood. Our findings contribute to understanding these beliefs. Furthermore, our findings suggest what messages targeting vaccine-refusing people should focus on. This may include acknowledging the significant effort that vaccine-refusing people invest in trying to protect their children, catering to vaccine-refusing people's high engagement and desire for detailed information, and avoiding stigmatising or confrontational vaccine-promotion strategies.
Substances chimiques
Vaccines
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
695-705Informations de copyright
© 2020 John Wiley & Sons Ltd.
Références
Amin, A. B., Bednarczyk, R. A., Ray, C. E., Melchiori, K. J., Graham, J., Huntsinger, J. R., & Omer, S. B. (2017). Association of moral values with vaccine hesitancy. Nature Human Behaviour, 1(12), 873-880. https://doi.org/10.1038/s41562-017-0256-5
Attwell, K., Navin, M. C., Lopalco, P. L., Jestin, C., Reiter, S., & Omer, S. B. (2018). Recent vaccine mandates in the United States, Europe and Australia: A comparative study. Vaccine, 36(48), 7377-7384. https://doi.org/10.1016/j.vaccine.2018.10.019
Attwell, K., Smith, D. T., & Ward, P. R. (2018). ‘The unhealthy other’: How vaccine rejecting parents construct the vaccinating mainstream. Vaccine, 36(12), 1621-1626. https://doi.org/10.1016/j.vaccine.2018.01.076
Benin, A. L., Wisler-Scher, D. J., Colson, E., Shapiro, E. D., & Holmboe, E. S. (2006). Qualitative analysis of mothers' decision-making about vaccines for infants: The importance of trust. Pediatrics, 117(5), 1532. https://doi.org/10.1542/peds.2005-1728
Bester, J. C. (2015). Vaccine refusal and trust: The trouble with coercion and education and suggestions for a cure. Journal of Bioethical Inquiry, 12(4), 555-559. https://doi.org/10.1007/s11673-015-9673-1
Blume, S. (2006). Anti-vaccination movements and their interpretations. Social Science and Medicine, 62(3), 628-642. https://doi.org/10.1016/j.socscimed.2005.06.020
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
Capurro, G., Greenberg, J., Dubé, E., & Driedger, M. (2018). Measles, moral regulation and the social construction of risk: Media narratives of “anti-vaxxers” and the 2015 disneyland outbreak. Canadian Journal of Sociology, 43(1), 25-48. https://doi.org/10.29173/cjs29301
Carpiano, R. M., & Fitz, N. S. (2017). Public attitudes toward child undervaccination: A randomized experiment on evaluations, stigmatizing orientations, and support for policies. Social Science and Medicine, 185, 127-136. https://doi.org/10.1016/j.socscimed.2017.05.014
Centres for Disease Control and Prevention. (2018). Epidemiology and prevention of vaccine-preventable diseases: Reported cases and deaths from vaccine preventable diseases, United States. Retrieved from https://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/e/reported-cases.pdf
Chow, M. Y. K., Danchin, M., Willaby, H., Pemberton, S., & Leask, J. (2017). Parental attitudes, beliefs, behaviours and concerns towards childhood vaccinations in Australia: A national online survey. Australian Family Physician, 46, 145-151. Retrieved from http://www.racgp.org.au/afp/2017/march/parental-attitudes,-beliefs,-behaviours-and-concerns-towards-childhood-vaccinations-in-australia-a-national-online-survey/
Coombes, R. (2017). Europe steps up action against vaccine hesitancy as measles outbreaks continue. British Medical Journal, 359. https://doi.org/10.1136/bmj.j4803
Davies, P., Chapman, S., & Leask, J. (2002). Antivaccination activists on the world wide Web. Archives of Disease in Childhood, 87(1), 22-25. https://doi.org/10.1136/adc.87.1.22
Dey, A., Wang, H., Quinn, H. E., Hill, R., & Macartney, K. (2016). Surveillance of adverse events following immunisation in Australia annual report, 2014. Communicable Diseases Intelligence, 40(3), E377-E390.
Dijk, T. A. V. (2015). Critical discourse analysis. In D. Tannen, H. E. Hamilton, & D. Schiffrin (Eds.), The handbook of discourse analysis (2nd ed., pp. 466-485). John Wiley & Sons, Inc.
Dubé, E., Gagnon, D., & MacDonald, N. E. (2015). Strategies intended to address vaccine hesitancy: Review of published reviews. Vaccine, 33(34), 4191-4203. https://doi.org/10.1016/j.vaccine.2015.04.041
Dubé, E., Vivion, M., Sauvageau, C., Gagneur, A., Gagnon, R., & Guay, M. (2015). “Nature does things well, why should we interfere?”: Vaccine hesitancy among mothers. Qualitative Health Research, 26(3), 411-425. https://doi.org/10.1177/1049732315573207
Faasse, K., Chatman, C. J., & Martin, L. R. (2016). A comparison of language use in pro- and anti-vaccination comments in response to a high profile Facebook post. Vaccine, 34(47), 5808-5814. https://doi.org/10.1016/j.vaccine.2016.09.029
Gagneur, A., Gosselin, V., & Dubé, È. (2018). Motivational interviewing: A promising tool to address vaccine hesitancy. Vaccine, 36(44), 6553-6555. https://doi.org/10.1016/j.vaccine.2017.10.049
Gangarosa, E. J., Galazka, A. M., Wolfe, C. R., Phillips, L. M., Gangarosa, R. E., Miller, E., & Chen, R. T. (1998). Impact of anti-vaccine movements on pertussis control: The untold story. Lancet, 351(9099), 356-361. https://doi.org/10.1016/S0140-6736(97)04334-1
Garrett, R. K., & Weeks, B. E. (2017). Epistemic beliefs’ role in promoting misperceptions and conspiracist ideation. PLoS One, 12(9), e0184733. https://doi.org/10.1371/journal.pone.0184733
Glanz, J. M., Wagner, N. M., Narwaney, K. J., Shoup, J. A., McClure, D. L., McCormick, E. V., & Daley, M. F. (2013). A mixed methods study of parental vaccine decision making and parent-provider trust. Academic Pediatrics, 13(5), 481-488. https://doi.org/10.1016/j.acap.2013.05.030
Harmsen, I. A., Mollema, L., Ruiter, R. A. C., Paulussen, T. G. W., de Melker, H. E., & Kok, G. (2013). Why parents refuse childhood vaccination: A qualitative study using online focus groups. BMC Public Health, 13(1), 1183. https://doi.org/10.1186/1471-2458-13-1183
Hausman, B. L., Ghebremichael, M., Hayek, P., & Mack, E. (2014). ‘Poisonous, filthy, loathsome, damnable stuff’: The rhetorical ecology of vaccination concern. Yale Journal of Biology and Medicine, 87(4), 403-416. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4257028/
Hobson-West, P. (2007). ‘Trusting blindly can be the biggest risk of all’: Organised resistance to childhood vaccination in the UK. Sociology of Health and Illness, 29(2), 198-215. https://doi.org/10.1111/j.1467-9566.2007.00544.x
Hornsey, M. J., Harris, E. A., & Fielding, K. S. (2018). The psychological roots of anti-vaccination attitudes: A 24-nation investigation. Health Psychology, 37(4), 307-315. https://doi.org/10.1037/hea0000586
Kata, A. (2010). A postmodern Pandora's box: Anti-vaccination misinformation on the Internet. Vaccine, 28(7), 1709-1716. https://doi.org/10.1016/j.vaccine.2009.12.022
Kata, A. (2012). Anti-vaccine activists, Web 2.0, and the postmodern paradigm - An overview of tactics and tropes used online by the anti-vaccination movement. Vaccine, 30(25), 3778-3789. https://doi.org/10.1016/j.vaccine.2011.11.112
Kaufman, S. R. (2010). Regarding the rise in autism: Vaccine safety doubt, conditions of inquiry, and the shape of freedom. Ethos, 38(1), 8-32. https://doi.org/10.1111/j.1548-1352.2009.01079.x
Landers, S. H., & Sehgal, A. R. (2004). Health care lobbying in the United States. American Journal of Medicine, 116(7), 474-477. https://doi.org/10.1016/j.amjmed.2003.10.037
Larson, H. J. (2018). Politics and public trust shape vaccine risk perceptions. Nature Human Behaviour, https://doi.org/10.1038/s41562-018-0331-6
Leask, J., Kinnersley, P., Jackson, C., Cheater, F., Bedford, H., & Rowles, G. (2012). Communicating with parents about vaccination: A framework for health professionals. BMC Pediatrics, 12(1), 1-11. https://doi.org/10.1186/1471-2431-12-154
Lee, C., Whetten, K., Omer, S., Pan, W., & Salmon, D. (2016). Hurdles to herd immunity: Distrust of government and vaccine refusal in the US, 2002-2003. Vaccine, 34(34), 3972-3978. https://doi.org/10.1016/j.vaccine.2016.06.048
Lexchin, J., Bero, L. A., Djulbegovic, B., & Clark, O. (2003). Pharmaceutical industry sponsorship and research outcome and quality: Systematic review. British Medical Journal, 326(7400), 1167. https://doi.org/10.1136/bmj.326.7400.1167
Macdonald, L., Deeks, S., & Doyle, C. (2010). Response to the HPV vaccination campaign: A project of moral regulation in an era of biopolitics. Canadian Journal of Sociology, 35(4), 627-631.
Muscat, M. (2011). Who gets measles in Europe? Journal of Infectious Diseases, 204(Suppl. 1), S353-365. https://doi.org/10.1093/infdis/jir067
Nyhan, B., Reifler, J., Richey, S., & Freed, G. L. (2014). Effective messages in vaccine promotion: A randomized trial. Pediatrics, 133(4), e835. https://doi.org/10.1542/peds.2013-2365
Olsen, A. K., & Whalen, M. D. (2009). Public perceptions of the pharmaceutical industry and drug safety. Drug Safety, 32(10), 805-810. https://doi.org/10.2165/11316620-000000000-00000
Reich, J. A. (2014). Neoliberal mothering and vaccine refusal: Imagined gated communities and the privilege of choice. Gender & Society, 28(5), 679-704. https://doi.org/10.1177/0891243214532711
Rozbroj, T., Lyons, A., & Lucke, J. (2018). Psychosocial and demographic characteristics relating to vaccine attitudes in Australia. Patient Education and Counseling, 102(1), 172-179. https://doi.org/10.1016/j.pec.2018.08.027
Rozbroj, T., Lyons, A., & Lucke, J. (2019). The mad leading the blind: Perceptions of the vaccine-refusal movement among Australians who support vaccination. Vaccine, 37(40), 5986-5993. https://doi.org/10.1016/j.vaccine.2019.08.023
Rozbroj, T., Lyons, A., & Lucke, J. (2020). Vaccine-hesitant and vaccine-refusing parents’ reflections on the way parenthood changed their attitudes to vaccination. Journal of Community Health, 45(1), 63-72. https://doi.org/10.1007/s10900-019-00723-9
Schmidt, A. L., Zollo, F., Scala, A., Betsch, C., & Quattrociocchi, W. (2018). Polarization of the vaccination debate on Facebook. Vaccine, 36(25), 3606-3612. https://doi.org/10.1016/j.vaccine.2018.05.040
Singer, D., & Hunter, M. (1999). The experience of premature menopause: A thematic discourse analysis. Journal of Reproductive and Infant Psychology, 17(1), 63-81. https://doi.org/10.1080/02646839908404585
Sobo, E. J. (2015). Social cultivation of vaccine refusal and delay among Waldorf (Steiner) school parents. Medical Anthropology Quarterly, 29(3), 381-399. https://doi.org/10.1111/maq.12214
Sobo, E. J., Huhn, A., Sannwald, A., & Thurman, L. (2016). Information curation among vaccine cautious parents: Web 2.0, pinterest thinking, and pediatric vaccination choice. Medical Anthropology, 35(6), 529-546. https://doi.org/10.1080/01459740.2016.1145219
Ward, P. R., Attwell, K., Meyer, S. B., Rokkas, P., & Leask, J. (2017). Understanding the perceived logic of care by vaccine-hesitant and vaccine-refusing parents: A qualitative study in Australia. PLoS One, 12(10), e0185955. https://doi.org/10.1371/journal.pone.0185955
Wigginton, B., & Lee, C. (2014). “But i am not one to judge her actions”: Thematic and discursive approaches to university students’ responses to women who smoke while pregnant. Qualitative Research in Psychology, 11(3), 265-276. https://doi.org/10.1080/14780887.2014.902523
World Health Organization. (2014). Strategies for addressing vaccine hesitancy: A systematic review. Retrieved from http://www.who.int/immunization/sage/meetings/2014/october/3_SAGE_WG_Strategies_addressing_vaccine_hesitancy_2014.pdf